Application For Australian Canoeing Coastal Guide – Sit on top

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					      Application For Australian Canoeing
      Coastal Guide – Sit on top – SRO 03

1      Address
             First Name                                            Postal Address



             Last Name
                                                                     Suburb/Town


            Date of Birth                  /     /                            State                                Postcode

            Home Telephone        (    )                                          Work Telephone       (     )

                    Facsimile    (     )                                                      Mobile


    Email


2      Payment Details
Please complete the AC Fee Form and attach to the end of this documentation


3 Course Provider Information
              Provider Name
                                                                           Postal Address
             Contact’s Name
                                                                             Suburb/Town
              Telephone (BH)
                                                                                      State                          Postcode


4 Australian Canoeing Declaration
      The information you provide remains confidential to AC. AC will not supply our member’s personal details to any outside parties.
      You may receive mail or email regarding the program and any promotions, exclusive offers or benefits available to AC members.
      If you DO NOT wish to receive mail or email other than the information on the program please tick the box.



5 How to use this form
      Use this form to collate your evidence for the Award
      A copy of the completed form (without the evidence) should be forwarded to AC for processing of the Award
      A copy of the form and all evidence must be retained by the NTP




                                                                                                                        Coastal Guide – Sit on top
                                                                                                                            July 1 2005 – SRO 03
      Coastal Guide – Sit on top – SRO 03


Overall Assessment of Australian Canoeing Introduction to Sea Kayak Guide (level 2) Award
I have assessed _________________ as able to perform to the level of the qualification definition as follows;
           Holders of a Coastal Guide - Sit on top craft award have been assessed and are qualified to lead / guide novice
           groups on coastal trips and expeditions.
           The coastal context is defined as estuaries, embayments and areas enclosed or partially enclosed by fringing reef or
           islands. It includes areas of exposed coastline that is simple, not involving overfalls, tidal races, difficult landings or
           open crossings.
           A Coastal Guide - Sit on top craft has demonstrated that they have a high standard of teaching and paddling ability.
           A guide is only qualified to impart skills or knowledge that is necessary for a person to participate safely and
           adequately in canoeing and kayaking.
           At the end of a session or program with a guide, the intent is not for the participant to have acquired the skills to
           independently participate in the activity.
The candidate understands the following;
       The history, mission and structure of Australian Canoeing
       The structure of the Australian Canoeing Award Scheme (ACAS)
       That as a registered Australian Canoeing Guide or Instructor, the AC constitution is a contract between
       themselves and AC.
       To remain registered as an Australian Canoeing Guide or Instructor they agree to be bound by it and any Policies,
       Guidelines or By-laws made under it including the Code of Behaviour in the AC Member Protection By-law and
       the Safety Guidelines.
                                                                       Signed: _________________________ Assessor
.
6       Units of competence – Coastal Guide; Sit on top – SRO03
SROKYS001A                                                                              Competent (C)               Assessor initial &
Demonstrate simple sea kayaking skills                                             Not Yet Competent (NYC)               date
Select equipment
Plan for the activity
Embark and disembark the craft
Manoeuvre the craft in controlled conditions
Apply capsize procedures
Secure craft
SRONAV001B                                                                              Competent (C)               Assessor initial &
Navigate in tracked or easy untracked areas                                        Not Yet Competent (NYC)               date
Use a map
Use a compass
Plan a route in tracked or easy untracked areas
Navigate in tracked or easy untracked areas
SROOPS001B                                                                              Competent (C)               Assessor initial &
Implement minimal environmental impact practices                                   Not Yet Competent (NYC)               date
Determine the environmental impacts of outdoor recreation activities
Adopt minimal impact practices
SROOPS003B                                                                              Competent (C)               Assessor initial &
Apply weather information                                                          Not Yet Competent (NYC)               date
Apply weather information
Interpret weather information




                                                                                                           Coastal Guide – Sit on top
                                                                                                               July 1 2005 – SRO 03
      Coastal Guide – Sit on top – SRO 03


6       Units of competence – Coastal Guide; Sit on top – SRO03 (Continued)
SROODR001A                                                                                Competent (C)          Assessor initial &
Apply basic outdoor recreation logistics                                             Not Yet Competent (NYC)          date
Make logistical arrangements
Select and use suitable outdoor equipment
Identify, plan and monitor food requirements
Identify and plan for water needs and usage
Identify and plan clothing requirements
Participate in an outdoor activity
SROKYS002A                                                                                Competent (C)          Assessor initial &
Demonstrate simple sea kayaking skills to a high standard                            Not Yet Competent (NYC)          date
Select equipment
Plan for the activity
Embark and disembark the craft
Manoeuvre the craft in controlled conditions
Apply navigation skills
Apply capsize procedures
Secure craft
SROKYS005A                                                                                Competent (C)          Assessor initial &
Plan and navigate a sea kayaking inshore passage                                     Not Yet Competent (NYC)          date
Use and care for coastal navigational charts, nautical publications and related
documentation
Plan route for inshore voyage
Conduct an inshore passage
Fix sea kayak group’s position within a limited area
SROOPS004B                                                                                Competent (C)          Assessor initial &
Interpret weather conditions in the field                                            Not Yet Competent (NYC)          date
Apply weather information
Interpret weather information
Assess the influence of topography on local weather conditions
Interpret local weather signs to identify likely changes
SROOPS007B                                                                                Competent (C)          Assessor initial &
Interpret weather for marine environments                                            Not Yet Competent (NYC)          date
Interpret weather information from a weather map and make forecasts
Collect, record and interpret weather information in a specific marine region
Interpret weather information for aquatic activities at a specific marine location
SRX GRO 003A                                                                              Competent (C)          Assessor initial &
Provide leadership to groups                                                         Not Yet Competent (NYC)          date
Demonstrate appropriate standards of performance
Influence individuals and groups
Make decisions
Facilitate group decision making
Demonstrate appropriate leadership styles
SRORIK001A                                                                                Competent (C)          Assessor initial &
Undertake risk analysis of activities                                                Not Yet Competent (NYC)          date
Establish the context of the risk analysis
Identify risks associated with an activity
Conduct risk analysis of an activity
Undertake risk assessment of an activity
Treat risks associated with an activity
Monitor and review the risk management for an activity




                                                                                                         Coastal Guide – Sit on top
                                                                                                             July 1 2005 – SRO 03
      Coastal Guide – Sit on top – SRO 03


SROODR006A                                                                                    Competent (C)          Assessor initial &
Manage risk in an outdoor activity                                                       Not Yet Competent (NYC)          date
Demonstrate knowledge of the role of risk theory in the context of outdoor activities
Examine the adventure experience and its link to risk in outdoor activities
Apply knowledge of accidents
Identify and record potential risks and hazards in an activity, and management
strategies to lessen their impact
Apply risk management during an outdoor activity
Evaluate risk management
SRXOHS001B
                                                                                              Competent (C)          Assessor initial &
Follow defined Occupational Health and Safety policies and
                                                                                         Not Yet Competent (NYC)          date
procedures
Follow workplace procedures for hazard identification and risk control
Contribute to participative arrangements for the management of occupational health
and safety
SRXINU002A                                                                                    Competent (C)          Assessor initial &
Apply Sport and Recreation Law                                                           Not Yet Competent (NYC)          date
Identify laws applicable to the sport and recreation industry
Ensure compliance with legal requirements
PUEOPE002A                                                                                    Competent (C)          Assessor initial &
Operate communications systems and equipment                                             Not Yet Competent (NYC)          date
Use communication systems and equipment
Transmit and receive communications
Maintain communications equipment
SROODR002A                                                                                    Competent (C)          Assessor initial &
Plan outdoor recreation activities                                                       Not Yet Competent (NYC)          date
Make logistical arrangements
Select and use suitable outdoor equipment
Identify, plan and monitor food requirements
Identify and plan for water needs and usage
Identify and plan clothing requirements
Participate in an outdoor activity
Deal with non-routine situations
SROODR005A                                                                                    Competent (C)          Assessor initial &
Guide outdoor recreation sessions                                                        Not Yet Competent (NYC)          date
Collect information to plan a session
Produce a session plan
Resource a session
Maintain clients’ physical welfare
Maintain a positive social environment
Establish effective communication
Ensure client safety
Prepare clients to end the session
Evaluate the session
                                                                    Statement of             Competent (C)              Assessor
Overall Assessment of Evidence                                  attainment required     Not Yet Competent (NYC)       initial & date
Coastal Guide – Sit on top                                            Yes / No




                                                                                                             Coastal Guide – Sit on top
                                                                                                                 July 1 2005 – SRO 03
  Coastal Guide – Sit on top – SRO 03


8 Assessment Information
  On behalf of Australian Canoeing I request that Australian Canoeing register the above person for an Australian Canoeing Guiding Award.
  I certify that the assessment was conducted by Australian Canoeing appointed Assessors, according to the requirements of the Australian
  Canoeing Award Scheme.
            Assessment vessel: (Description;___________________________)

             Course Date                                                         Venue


              Assessor 1                                                     Assessor 2

                Signature                                                     Signature

                    Date                                                           Date


9 Candidate Declaration
  I declare that all information contained in my Application for an Australian Canoeing Guiding Award to be true and accurate at the time of
  submission and that I shall notify Australian Canoeing in the event of change of information.
  I have viewed the Assessor’s remarks on the Units of Competence

           Student Name                                                       Signature



    Note: all applicants for Instructor or Guide awards must sign the declaration overleaf




                                                                                                                      Coastal Guide – Sit on top
                                                                                                                          July 1 2005 – SRO 03
     Coastal Guide – Sit on top – SRO 03


10       Registration Application and Declaration

     I                                                      of
                             Name                                                                  Address
         hereby apply for Registration as an AC Guide or Instructor. In so applying and in consideration of my application for registration
         being accepted I acknowledge and agree that:
               1. “AC” for the purposes of this registration application and declaration means and includes Australian Canoeing
                    Incorporated, its members (including State Associations and Affiliated Clubs) and where the context so permits, their
                    respective directors, officers, members, servants or agents.
               2. If accepted I will be registered as an AC Guide or Instructor.
               3. This document cannot be amended. If I do amend it my application will be null and void. It cannot be accepted by AC.
               4. I acknowledge that as an instructor or guide I am an ambassador for AC and agree to present a positive image of
                    myself, AC and the Awards Scheme
               5. The AC Constitution is a contract between me and AC. I will be bound by it and any Policies, Guidelines or By-laws
                    made under it. It is necessary and reasonable for promoting AC and canoeing.
                          a. For the avoidance of doubt, I acknowledge and agree to comply with the Constitution and By-laws of AC, in
                               particular the Code of Behaviour in the AC Member Protection By-law
                          b. I agree to comply with the AC Safety Guidelines,
                          if my application is accepted.
               6. Exclusion of Liability: Except where provided or required by law and such cannot be excluded, I agree that it is a
                    condition of my registration (if accepted) that AC is absolved from all liability however arising from injury or damage
                    however caused (whether fatal or otherwise) arising out of my registration and/or participation in any AC Activity.
               7. Release and Indemnity: In consideration of AC accepting my application for registration I;
                          a. Release and forever discharge AC from all Claims that I may have or may have had but for this release
                               arising from or in connection with my registration and/or participation in any AC Activity; and
                          b. Indemnify and hold harmless AC to the extent permitted by law in respect of any Claim by any person arising
                               as a result of or in connection with my registration and/or participation in any AC Activity.
                    In this clause 8 "Claims" means and includes any action, suit, proceeding, claim, demand, damage, penalty, cost or
                    expense however arising but does not include a claim in respect of any action, suit, etc made by any person entitled to
                    make a claim under a relevant AC insurance policy or under the AC Constitution or any By-laws.
               8. Fitness to Participate: I declare that I am and must continue to be medically and physically fit and able to participate in
                    any AC Activity. I am not and must not be a danger to myself or to the health and safety of others. I will immediately
                    notify AC in writing of any change to my fitness and ability to participate. I understand and accept that AC will continue
                    to rely upon this declaration as evidence of my fitness and ability to participate.
               9. I have provided the information required overleaf and signed both sides of this form. I warrant that all information
                    provided is true and correct.
               10. Privacy: I understand that the information I have provided overleaf is necessary for the Objects of AC. I acknowledge
                    and agree that the information will be will be used only for the Objects of AC and to provide me with registration
                    services. I understand that I will be able to access my information. If the information is not provided my registration
                    application may be rejected.
                    I acknowledge that AC may also use my personal information in accordance with the AC Privacy By-law. I may advise
                    AC If I do not wish to receive from AC any AC sponsors or third parties' promotional material.
          Copyright: in photographs and right to use: I acknowledge and consent to photographs being taken of me during my
         participation in AC activities. I acknowledge that the photographs are owned by AC and that AC may use the photographs for
         promotional or other purposes without my further consent being obtained.
         I have read, understood, acknowledge and agree to the above declaration including the warning, exclusion of liability, release
         and indemnity. I acknowledge that if my application for registration is successful I will be entitled to all benefits, advantages,
         privileges and services of AC registration

          Signature                                          Name                                                   Date        /      /



                                                                 OFFICE USE ONLY


 Member #                              Qual ID                            Regency SoA                   Invoice #




                                                                                                                      Coastal Guide – Sit on top
                                                                                                                          July 1 2005 – SRO 03

				
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Description: Application For Australian Canoeing Coastal Guide – Sit on top